HomeMy Public PortalAbout4951 ROBINHOOD AVE_Plumbing__ I
,BASS, APPLICATION FOR PLUMBING PERMIT :1
�E e17 e-BUILDING AND SAFETY DMSION
Department of County Engineer
County of Los Angeles BUILDING
JOHN A.L.AMBIE.COUNTY ENGINEER ADDRESS 41
S/
CASSATT D.GRIFFIN,SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
��// CROSS ST.
OWNER Xjl DISTRICT NO.. ROUP ZONE READY FOR INSPECTION
MAIL
ADDRESS e�`r l GJ; I —1
4� INDUSTRIAL
CITY TEL.NO. JUX - `3 WASTE APPROVAL
PLUMBER �ah.�uiu INSPECTION RECORD
ADDRESS`e� / (O 4LA�.r.t<x.e✓ :2J J� l.- !'r8 r �/
CITY 06AZZV- -+.J 9A,-Z TEL..NO. //-1
LICENSE NO.
' NUMBER TYPE OF FIXTURE OR ITEM FEE / .� / •�`„��t.,,,,,�.„�._�„
�• WATER CLOSET (TOILET) @ $1.00 All_
BATH TUB @ $1.00
/ SHOWER @ $1.00 r ,
�• LAVATORY(WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00
® DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $I.00
/ CLOTHES WASHER @ $1.00
d WATER HEATER @ $1.00
/ GAS SYSTEM @ $1.00 ( ��
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT $ 00 ROUGH PLUMBING ! I4 � n
GAS PIPING
TOTAL FEE /
GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION _®
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST_ _
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND-STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY C.O.NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
OF PERMITTER FINAL of 7 1120'b`''c-+. -
ROBERT A.WOOD.
JOHN A.LAMBIE.COUNTY ENGINEER VALIDATION SUPERVISING MECHANICALENG'R
`g
Ln 1 2T 7 OR BEC 22 5 A 13.0 0